Whitford 2009

Risk of bias

Animal bioassay experiments

NameTypeComments
8-month study Chronic (>90 days) The groups differed according to the distilled drinking water concentrations of fluoride which was added as sodium fluoride. The initial water fluoride concentrations were 0, 10.0, 25.0 and 50.0 mg/L. The rats were provided with a chemically defined, low-fluoride diet (0.4 mg/kg, American Institute of Nutrition Diet AIN-76A) throughout the eight-month study. At the end of each of the first four weeks the rats were weighed and the 48-h water intakes were measured gravimetrically. Based on the volume of water consumed and the change in body weight of each group during the week, the water fluoride concentrations were increased in order to maintain a relatively constant daily dose of fluoride. The target doses were 3.0, 6.0 and 12.0 mg F/kg body wt/day. Compared to using fixed water fluoride concentrations, this method substantially increases the exposure levels, thus increasing the likelihood of detecting adverse effects. Such adjustments were made each week during the first month, biweekly during the second month and once each month for the remainder of the study when rates of change in body weight were relatively small. During the last month of the study the drinking water fluoride concentrations were 33.2, 85.6 and 155.2 mg/L. Considering the entire eight-month study, the average daily doses for the three fluoride groups were 2.9, 5.7 and 11.5 mg F/kg/day. Fluoride intake from the foodwas a small fraction of that from water (b0.01 mg F/kg/day).; The protocol for the study was reviewed and approved by the Institutional Animal Use and Care Committees of the Medical College of Georgia and Augusta State University. Female Sprague–Dawley rats (n=32) were received one week after weaning, an age at which all regions of the central nervous system are rapidly developing. They were placed in pairs in ‘shoebox’ cages, numbered with indelible ink on their tails, weighed and randomly assigned to four groups (8/group).